Relationship of the Celiac Trunk with Median Arcuate Ligament of the Diaphragm

The syndrome of celiac trunk compression (or celiac axis compression syndrome) is a nosologic entity that has been recently introduced in the abdominal vascular pathology field based on the clinical-radiological observations by correlating abdominal symptoms caused by the compression of celiac trunk crura (Dunbar et al., 1965). Since then, several cases have been reported describing this syndrome (Debray & Leymarios, 1968; Fadhli, 1968; Harjola, 1968; Edwards, 1969; Hivet & Lagadec, 1970; Stanley & Fry, 1971; Ciscato et al., 1976; Joubaud et al., 1977; Kokotsakis et al., 2000; Roayaie et al., 2000; Dordoni et al., 2002; Alehan & Dogan, 2004 and Desmond & Roberts, 2004). This syndrome is characterized by the triad abdominal pain, systolic bruit and stenosis of the celiac trunk (Thevenet et al., 1985).